Organization
VISIONARY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN ROY MINER DC (OWNER)
(505) 444-2032
Entity
Organization
Contact information
Practice address
6501 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3932
(505) 444-2032
Mailing address
803 SILVER AVE SW, ALBUQUERQUE, NM 87102-3020
(505) 444-2032
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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